Transcription of SCHOOL ELECTION FORM - Miami-Dade County
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SCHOOL ELECTION FORM - Miami-Dade County
SCHOOL ELECTION form . CITATION NUMBER(S). LAST NAME FIRST NAME MIDDLE NAME. DRIVER'S LICENSE NUMBER DATE OF BIRTH. (CHECK EITHER BOX A, B or C). A. I am eligible and elect to attend a four (4) hour basis traffic course, pursuant to section (9) Florida Statutes, because I have not elected to attend such a course within the past twelve (12) month, or five (5) times in my lifetime, do not hold a commercial driver's license (CDL) and was not charged with a toll violation or red light violation issued by a camera. B. I am eligible and elect to attend an eight (8) hour intermediate driver improvement course, pursuant to Administrative Order No. 99-14. I am no longer eligible to attend the four (4) hour course, and I have never before elected to attend the eight (8) hour course. C. I am eligible and elect to attend a ninety (90) minute Child Restraint Offender's Program, pursuant to Administrative Order No.
citation number(s) last name first name middle name. driver’s license number date of birth
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